不同麻醉方法对人工流产术的镇痛效果比较

Analgesic Effects of Different Anesthesia Methods on Induced Abortion

目的探讨两种镇痛方法在人工流产手术中的疗效观察。方法100例实施无痛人工流产术患者随机分成两组:异丙酚+芬太尼静脉麻醉组(A组)50例和2%利多卡因宫颈局部浸润麻醉组(B组)50例,观察两组手术时间、麻醉评分、镇痛效果及并发症等。结果A组麻醉成功率50例(100%)高于B组43例(86.0%)(χ2=3.99,P<0.05);A组出血量[15～30mL:5例(10.0%)、>30mL:1例(2.0%)]低于B组[12例(24.0%)、6例(12.0%)(]χ2=3.97,χ2=3.89,P均<0.05);A组宫颈松弛程度显效48例(96.0%)明显高于B组42例(84.0%)(χ2=3.94,P<0.05);人工流产综合征A组1例(2.0%),低于B组6例(12.0%)(χ2=4.25,P<0.0.5)。结论人工流产术应选择异丙酚+芬太尼静脉麻醉,效果满意。

Objective To investigate the curative efficacy of two kinds of analgesia in induced abortion. Methods We divided 100 cases of painless artificial abortion randomly into：propofol ＋ fentanyl intravenous anesthesia group（ Group A, 50 cases ） and 2% lidocaine local infiltration anesthesia group（Group B, 50 patients）, Operation lasting time, anesthesia score, analgesic effect and complications were observed in the two groups. Results The anesthesia success rate of Group A（50 cases, 100%）was higher than that of Group B（43 cases, 86.0%）（ χ^2=3.99, P〈0.05）; The bleeding amount of Group A [15-30ml：5 cases（ 10.0% ）, 〉30mL： 1 case（2.0% ）] was lower than that of Group B[12 cases （ 24.0% ）, 6cases （ 12.0% ）] （ χ^2=3.97, χ^2= 3.89, P〈 0.05 ） ; There were 48 cases with obvious efficiency of cervical relaxation degree （ 96.0% ） in Group A and 42 cases with the obvious efficiency（84.0%）in Group B ,with the efficiency of Group A significantly higher than that of Group B （χ^2=3.94,P〈0.05 ）. One case of artificial abortion syndrome of Group A （2.0%） and 6 cases of artificial abortion syndrome of Group B （ 12.0%）showed fewer cases of syndrome in the former compared with the latter（χ^2=4.25 ,P〈0.05）. Conclusion Propofol ＋ fentanyl intravenous anesthesia should be chosen for painless artificial abortion, with satisfactory results.